Organization
MEDUGO HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MEDOH (CREDENTIALINGSPECIALIST)
(240) 486-7733
Entity
Organization
Contact information
Practice address
11204 HOMESTEAD DR, UPPER MARLBORO, MD 20774-5760
(240) 486-7733
Mailing address
11204 HOMESTEAD DR, UPPER MARLBORO, MD 20774-5760
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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